Form Type: 4

SEC EDGAR Link
Accession Number:0001209191-19-000393
Date:2018-12-29
Issuer: RESTAURANT BRANDS INTERNATIONAL INC. (QSR)
Original Submission Date:

Reporting Person:

FRANKLIN MARTIN E
130 KING STREET WEST
SUITE 300 TORONTO, A6 M5X 1E1

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON SHARES 2018-12-29 A 2,307 a $0.00 18,357 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
EXCHANGEABLE UNITS 0.0 2018-12-29 deemed execution date 0 ( ) common shares 1,161,469 $0.00 1,161,469 direct
EXCHANGEABLE UNITS 0.0 2018-12-29 deemed execution date 0 ( ) common shares 157,706 $0.00 157,706 indirect see footnote
EXCHANGEABLE UNITS 0.0 2018-12-29 deemed execution date 0 ( ) common shares 277,310 $0.00 277,310 indirect see footnote
OPTION (RIGHT TO BUY) 15.25 2018-12-29 deemed execution date 0 ( ) 2022-08-01 common shares 32,786 $15.25 32,786 direct
Footnotes
IDfootnote
f1 represents restricted stock units that are earned and vested upon grant and that settle upon termination of board service.
f2 each restaurant brands international limited partnership exchangeable unit is convertible, at the reporting person's election into common shares of restaurant brands international inc. or a cash amount equal to a prescribed cash amount determined by reference to the weighted average trading price of restaurant brands international inc.'s common shares on the new york stock exchange for the 20 consecutive trading days ending on the last business day prior to the exchange date, at the sole discretion of the general partner of restaurant brands international limited partnership (subject to the consent of the restaurant brands international inc. conflicts committee, in certain circumstances). this conversion right has no expiration date.
f3 represents an indirect interest held by rsma, llc. the reporting person is the managing member of rsma, llc and may be considered to have beneficial ownership of rsma, llc's interests in restaurant brands international, inc. the reporting person disclaims beneficial ownership of any shares in which he does not have a pecuniary interest.
f4 represents an indirect interest held by mini-rsma, llc. the reporting person is the managing member of mini-rsma, llc and may be considered to have beneficial ownership of mini-rsma, llc's interests in restaurant brands international, inc. the reporting person disclaims beneficial ownership of any shares in which he does not have a pecuniary interest.
f5 these options are immediately exercisable.
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